Indian Health Service Portland Area Director’s Update Dean M Seyler - Area Director July 18, 2017 Cow Creek Seven Feathers Casino/Resort NPAIHB Quarterly Board Meeting

Indian Health Service Portland Area Current IHS Headquarters Senior Leadership RADM Michael Weahkee – Acting Director RADM Chris Buchanan – Deputy Director Elizabeth A. Fowler – Deputy Director for Management Operations CAPT Michael Toedt, M.D. – Chief Medical Officer Jonathan Merrell – Acting Deputy Director for Quality Health Care P. Benjamin Smith – Deputy Director for Intergovernmental Affairs RADM Kevin Meeks – Acting Deputy Director of Field Operations RADM Kelly M. Taylor – Acting Chief of Staff https://www.ihs.gov/aboutihs/keyleaders/

Indian Health Service Portland Area 2015 & 2016 IHS Directors Award Ceremony Date: July 28, 2017 Location: Rockville, MD Both Fiscal Year Recipients will be recognized (FY15 & FY16) IHS Direct Service Tribes National Meeting Date: August 2-3, 2017 Location: Boston, MA P.L. 93-638 Orientation When: August 2-3, 2017 Location: Portland, OR – Embassy Suites Portland Airport Who Should Attend: Tribal Leaders  Tribal Administrators and staff Area & Service Unit staff involved with P.L. 92-638 process

Indian Health Service Portland Area Dear Tribal and Urban Leaders letters June 28, 2017 45-day Tribal Consultation and Urban Confer on a draft Indian Health Service Headquarters Information Technology Service Catalog. June 26, 2017 Announced two listening sessions related to the Resource and Patient Management System Electronic Health Record. The Acting Director writes to Tribal Leaders to encourage them to update the Facilities Engineering Deficiency System Database by September 1. June 23, 2017 The Acting Director writes to invite Tribal Leaders and Urban Indian Organization Leaders to attend the upcoming Indian Health Service Listening Session on Behavioral Health, being held during the 2017 American Indian and Alaska Native (AI/AN) National Behavioral Health Conference. The Listening Session is scheduled for the morning of Tuesday, August 15. [PDF - 245 KB] https://www.ihs.gov/newsroom/triballeaderletters/

Indian Health Service Portland Area FY17 CHEF $684,211 submitted for Portland Area $409,232 has been returned Current balance: $39,954,807 (as of June 20, 2017).

Indian Health Service Portland Area AI/AN National Behavioral Health Conference Joint collaboration between IHS and NIHB Fostering Resilience through celebration of Tribal best practice Location – Hardrock Casino Hotel, Tulsa OK Date – August 15 – 17, 2017 http://www.cvent.com/events/2017-ai-an-national-behavioral-health-conference/event-summary-31de468d0e6748f8853fc8dec152a2f0.aspx

Indian Health Service Portland Area Diabetes in Indian Country Conference IHS, Tribal, and Urban SDPI grantees, clinicians, and community health providers will: LEARN the latest information and earn CME/CE credits NETWORK with other grantees and clinicians SHARE best practices SHOWCASE their successful work in AI/AN communities September 19-21 Hyatt Regency Albuquerque Albuquerque, NM https://www.diabetesinindiancountry.com/ehome/index.php?eventid=235113&

Indian Health Service Portland Area IHS FY 2017 Enacted Budget FY 17 enacted budget is a 3.7% increase above the FY 16 final enacted level, 4.8% including CSC. Summary of Increases: Current Services Staffing for New Facilities (SD & OK) Behavioral Health Other Services (Prescription Drug Monitoring, Domestic Violence Prevention, Accreditation Emergencies, Tribal Clinic Leases, O&M, Alcohol Detox, Urban Health, Indian Health Professions) Facilities

Indian Health Service Portland Area IHS FY 2017 Apportionments Apportionments were received on May 31st for Services accounts based on the FY17 Spend Plan, less what had already been distributed. Funds received on May 31st were fully distributed to Tribes. Apportionments for Pay Act and inflation were recently received. Shares are currently being calculated and the resulting Contract Modifications will be distributed to Tribes’ for signature.

Indian Health Service Portland Area National Budget Workgroup When: April 24-25, 2017 Location: Spokane, WA Portland Area Elected Representatives: Andrew Joseph Jr., The Confederated Tribes of the Colville Reservation  Steve Kutz, Cowlitz Indian Tribe  Technical Team: Laura Platero, NPAIHB and Nichole Swanberg, PAIHS. Workgroup Suggestion: 12-year phase-in plan to achieve full funding calculated at a 36% increase for FY 2020.

Indian Health Service Portland Area Elimination of PRC Risk Pool Fund balance will be returned to Tribes who are currently participating in the pool in the 4th QTR. All future funds that would have normally been withheld at the Area will be added to the 638 contract. PRC Pool Participants Colville Service Unit Wellpinit Service Unit Yakama Tribe Warm Springs Tribe Cow Creek Tribe Burns Tribe NW Band of Shoshoni Tribe Hoh PSSU

Indian Health Service Portland Area Facilities Engineering Deficiency System (FEDS) Update Acting IHS Director Sent a DTLL on June 26th to encourage all tribal sites to update facility deficiency data by September 1, https://www.ihs.gov/newsroom/triballeaderletters/ Tribes With Retained Facilities Program Shares Health Facilities Engineering (HFE) Updates FEDS Data on a Regular Basis HFE Providing Current FEDS Data for Review and Confirmation by Tribal Health Directors (THDs) Likely No Action Necessary by These Tribes Tribes Without Retained Facilities Program Shares HFE Sent Instructions to THDs for Submitting Facility Deficiency Information Technical Assistance Available via Phone to Clarify Submission Instructions Federal Sites FEDS Update is Required. HFE Updates Data Annually. Questions: CAPT Jason Lovett, Acting HFE Director, 503-414-5531

Indian Health Service Portland Area IHS Tribal Medical Equipment Awards Funds Available Annually to Support New and Replacement Health Facility Projects Using Non-IHS Construction Funds. Four Portland Area Tribes Selected to Receive Funds for FY-2017. Colville - $204,212 Stillaguamish - $251,958 Swinomish - $211,404 Lower Elwha - $251,958 Funds Released Upon Receipt of Signed Construction Contract. Submission Deadline: September 30, 2018 Award Amount Adjusted Based on Actual Construction Cost Potential For Additional Funds After All Initial Awards Are Made Questions: Jonathan McNamara, Biomedical Program Support Specialist, 503-414-7770

Indian Health Service Portland Area Healthcare Infection Prevention & Control LCDR Matthew Ellis, Institutional Environmental Health Officer, facilitated an Association for Professionals in Infection Control and Epidemiology(APIC) Infection Prevention for Ambulatory Centers (ASC 101): Meeting CMS Conditions for Coverage Training Course June 27-29 at Northern Quest Area attendees included (27): Infection Control Officers, Clinical Directors, Physicians, QI Managers, Risk Managers, Dentists, Dental Hygienists, RNs, Administrators Training Objectives: Understand Regulatory Requirements Protect or Obtain Accreditation Status Implement New Evidence Based Interventions Received resources and templates to Apply Lessons Learned

Indian Health Service Portland Area Portland Area IHS Multi-Conference Series Nov. 13-17, 2017 at Spokane NATIVE Project. AAAHC Achieving Accreditation Workshop Nov. 13 (afternoon) - Nov. 14 (all day) Contact LCDR Matthew Ellis (matthew.ellis@ihs.gov) to check on available training slots. Pain Skills Intensive Seminar (HOPE Committee and UNM sponsored) Nov. 15 (all day) Medication Assisted Treatment (MAT) DATA waiver training Nov. 16 (morning) Registration announcement to be released this summer. Portland Area Fall Clinical Director’s Meeting Nov 16 (afternoon) – Nov 17 (morning)

Questions or Comments Our Mission... to raise the physical, mental, social, and spiritual health of American Indians and Alaska Natives to the highest level. Our Goal... to assure that comprehensive, culturally acceptable personal and public health services are available and accessible to American Indian and Alaska Native people. Our Foundation... to uphold the Federal Government's obligation to promote healthy American Indian and Alaska Native people, communities, and cultures and to honor and protect the inherent sovereign rights of Tribes.